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Hypophosphatemic Rickets Tips

RICKETS [RICKETS]

Dr. Mrs Neeraj Gupta 91% (331 ratings)
BHMS, Certificate in Gynaecology & Obestric, MD - Homeopathy, Ph.D Homeopathy
Homeopath, Delhi
It is the characteristic result of vitamin D deficiency in children.


CAUSES:

• It is less common in breastfed infants.
• Less exposure to sunlight.
• Dark skinned infants.
• Dietary deficiency of vitamin D.
• Malabsorption.
• Chronic liver disease.
• Renal osteodystrophy.
• Calcium wasting.
• Hereditary.


SIGN AND SYMPTOMS:

• Head:
– Prominent forehead.
– Delayed closing of anterior fontanels (normally closes by 6 months of age).
– Frequent rocking movement of the head.
– Temporary teeth usually appear late.
– Excessive sweating over the forehead.
• Thorax:
– Beading of ribs (rachitic rosary), at the junction of the ribs and cartilages.
– Prominent sternum (Pigeon`s Breast).
• Spinal column:
– Patient has hump in the back (Kyphosis).
• Extremities:
– Bow legs.
– Knock knees.
– Outwards curving of bones of forearm.
– Dwarfism in severe cases.
– Green stick fractures can occur in severe cases.
• Ligaments and muscles:
– Weakness of legs.
– Delayed walking and standing.
– Over extension of knee joints.
– Pot belly due to weakness of abdominal muscles.
• Digestive system:
– Indigestion due to liver and spleen affection.
• Nervous system:
– Restless at night.
– Rocking of head on the pillow.
– A predisposition to titanic convulsion.
• Respiratory system:
– Adenoid and tonsillar hypertrophy.
– Rhinitis.
– Pharyngitis (inflammation of mucous lining of the pharynx).
– Bronchitis.
– Bronchopneumonia.
• Spasmophilia:
– Triad of tetany.
– Laryngismus strides.
– Convulsion may be expected in low calcium type of rickets.


DIETARY MANAGEMENT:

Avoid:
• Avoid bony injuries, to prevent factures.


CONSUME:

• You should have sun bath for at least 1 – 2 hrs every day.
• Consume foods rich in vitamin D:
– Animal food: egg yolk and fish liver oils are riches source.
– Liver, veal, beef, oyster, salt water fish – mackerel, kipper, herrings, salmon, sardines and tuna.
– Dairy products like – cream, butter, cheese, fortified milk and margarines.
– Plant foods are low in vitamin D – vegetable oils, fruits, nuts and green leafy vegetables.
• Reduce calcium intake (reduce but do not completely avoid calcium as it is needed for maintenance of our body):-
– milk and sea food, nuts, green leafy vegetables, whole grains, peas, lotus stem, pulses, legumes and oil seeds
– Should avoid custard apple and banana as they are high in calcium.
• Breast feeding should be continued.
• You can take vitamin D supplements – cod liver oil, fortified milk.


CONSULT PHYSICIAN:

• Consult physician if you have any of the above sigh and symptoms.
• Associated illness should be treated.
• Vitamin D injections can be injected under the guidance of your physician.

Ways To Deal With Rickets In Children!

Dr. Ravi Yadav 87% (22 ratings)
M.D(Pediatrics), MBBS
Pediatrician, Rewari
Ways To Deal With Rickets In Children!

A nutritional disorder, the problem of rickets occurs if your child suffers from a deficiency of calcium, phosphate or Vitamin D. It causes softened and damaged bones, skeletal deformities, impaired development of the bone's growth plate (a spot of growing tissue found near the end of a long bone in adolescents and children) and stunted growth.

Here are few very simple ways you can prevent your child from getting it:

1. Having Vitamin D and calcium rich foods - One of the best ways to prevent this nutritional disorder from affecting your child is by making sure he or she have foods that are high in Vitamin D and calcium. Egg yolks, fish oil or fatty fish like salmon and mackerel are some of the Vitamin D foods that your child can have to strengthen his bones. Even foods that have Vitamin D added to it such as cereals, orange juice, milk and infant formula can also be given to your child. Sources of calcium can be soyabeans, nuts, broccoli, cabbage, cheese and yoghurt.

2. Going out in the sun - Considered to be an excellent source of Vitamin D, getting your child exposed to sunlight is another excellent way of getting most of this nutrient, as well as preventing him or her from developing rickets. Although the exposure time may vary from individual to individual, about 10-15 minutes of sun exposure without sunscreen can help.

3. Having Vitamin D supplements - Even the consumption of Vitamin D supplements can reduce your child's risk of getting rickets. Since mother's milk contains less than the recommended Vitamin D amount, infants too need to be put on Vitamin D supplements of 400 IU each day. For teenagers and young children, the recommended dosage is 600 IU of Vitamin D every day. If you wish to discuss about any specific problem, you can consult a pediatrician.

2685 people found this helpful

What is Rickets? How to Prevent Your CHILD From the Disorder?

Dr. Ajay 93% (122 ratings)
Diploma In Child Health (DCH), MBBS
Pediatrician, Gurgaon
What is Rickets? How to Prevent Your CHILD From the Disorder?

A nutritional disorder, the problem of rickets occurs if your child suffers from a deficiency of calcium, phosphate or Vitamin D. It causes softened and damaged bones, skeletal deformities, impaired development of the bone's growth plate (a spot of growing tissue found near the end of a long bone in adolescents and children) and stunted growth.

Here are few very simple ways you can prevent your child from getting it:

1. Having Vitamin D and calcium rich foods - One of the best ways to prevent this nutritional disorder from affecting your child is by making sure he or she have foods that are high in Vitamin D and calcium. Egg yolks, fish oil or fatty fish like salmon and mackerel are some of the Vitamin D foods that your child can have to strengthen his bones. Even foods that have Vitamin D added to it such as cereals, orange juice, milk and infant formula can also be given to your child. Sources of calcium can be soyabeans, nuts, broccoli, cabbage, cheese and yoghurt.

2. Going out in the sun - Considered to be an excellent source of Vitamin D, getting your child exposed to sunlight is another excellent way of getting most of this nutrient, as well as preventing him or her from developing rickets. Although the exposure time may vary from individual to individual, about 10-15 minutes of sun exposure without sunscreen can help.

3. Having Vitamin D supplements - Even the consumption of Vitamin D supplements can reduce your child's risk of getting rickets. Since mother's milk contains less than the recommended Vitamin D amount, infants too need to be put on Vitamin D supplements of 400 IU each day. For teenagers and young children, the recommended dosage is 600 IU of Vitamin D every day.

Tip: How To Recognise a STROKE, Before it's Too Late!

4358 people found this helpful

Is Your Child Suffering From Rickets? 3 Ways To Deal With It!

Dr. Maulik Shah 90% (144 ratings)
MBBS, MD - Paediatrics
Pediatrician, Jaipur
Is Your Child Suffering From Rickets? 3 Ways To Deal With It!

A nutritional disorder, the problem of rickets occurs if your child suffers from a deficiency of calcium, phosphate or Vitamin D. It causes softened and damaged bones, skeletal deformities, impaired development of the bone's growth plate (a spot of growing tissue found near the end of a long bone in adolescents and children) and stunted growth.

Here are few very simple ways you can prevent your child from getting it:

1. Having Vitamin D and calcium rich foods - One of the best ways to prevent this nutritional disorder from affecting your child is by making sure he or she have foods that are high in Vitamin D and calcium. Egg yolks, fish oil or fatty fish like salmon and mackerel are some of the Vitamin D foods that your child can have to strengthen his bones. Even foods that have Vitamin D added to it such as cereals, orange juice, milk and infant formula can also be given to your child. Sources of calcium can be soyabeans, nuts, broccoli, cabbage, cheese and yoghurt.

2. Going out in the sun - Considered to be an excellent source of Vitamin D, getting your child exposed to sunlight is another excellent way of getting most of this nutrient, as well as preventing him or her from developing rickets. Although the exposure time may vary from individual to individual, about 10-15 minutes of sun exposure without sunscreen can help.

3. Having Vitamin D supplements - Even the consumption of Vitamin D supplements can reduce your child's risk of getting rickets. Since mother's milk contains less than the recommended Vitamin D amount, infants too need to be put on Vitamin D supplements of 400 IU each day. For teenagers and young children, the recommended dosage is 600 IU of Vitamin D every day. If you wish to discuss about any specific problem, you can consult a pediatrician.

2667 people found this helpful

Dr. Amit K. Tyagi 88% (23 ratings)
M B B S , MD - Paediatrics
Pediatrician, Delhi
Viamin D supplementation (400 IU per day ) should be started early since newborn period...prevents rickets later...

Dr. Sajeev Kumar 89% (28275 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
VITAMIN D DEFICIENCY -RICKETS

Rickets causes muscles and bones to become soft, which can cause permanent deformities in children. It is most common in children and infants who have a poor diet or who are housebound, but is nowadays relatively rare in developed countries. Breast-fed babies are at higher risk if they or their mothers do not take in enough sunlight, and baby formula is now designed to prevent this. Rickets is caused by a lack of vitamin D or of calcium. Vitamin D is required for calcium to be properly absorbed into bones to strengthen them. Adults rarely develop rickets because their bones are not growing and do not need much calcium. Vitamin D itself is obtained from many foods but the body can only use it if it has been converted into its active form via sunlight. In recent years there has been a slight increase in children with rickets possibly due to too many of them staying indoors.
1 person found this helpful

Dr. Sajeev Kumar 89% (28275 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Today vitamin deficiencies still occur in developing countries or in those who have restrictive diets, but centuries ago people lived in fear of these deadly deficiencies whose causes were unknown and seemed to affect people at random.
Beriberi, Pellagra, Biotin Deficiency, Scurvy, Rickets, Ariboflavinosis, Vitamin K deficiency, Hypocobalaminemia, Night Blindness
If you have any doubts consult online/drsajeev/lybrate.com

Sneak in Some Vitamin D

Dt. Nehha Ahuja 87% (10 ratings)
PG Diploma Nutrition & Dietetics, B.Sc - Home Science
Dietitian/Nutritionist, Delhi
Sneak in Some Vitamin D

Vitamin D is crucial for you because it is crucial for regulating the immune system as well as making sure that phosphorous and calcium get absorbed into the bloodstream. However, Vitamin D is crucial for a number of other reasons as well. Here they are:

  1. Multiple sclerosis: Vitamin D is crucial in lessening your chances of getting multiple sclerosis.
  2. Heart disease: It has also recently been agreed upon that Vitamin D reduces your chances of getting heart disease.
  3. Flu: The flu is yet another disease, which may not occur if you have an adequate amount of Vitamin D in your diet.
  4. Depression: Vitamin D also plays a crucial role in a person's mood. The more Vitamin D there is in your body and diet, the more stable your mood is. The risks of depression are also reduced when your body and diet has an adequate amount of Vitamin D.
  5. Weight loss: As mentioned earlier, Vitamin D has a number of benefits among which preventing heart disease is included. However, it is worth note that weight loss is also made easier with the more vitamin D you have. This is because Vitamin D has an appetite suppressing effect. However, it should be kept in mind that Vitamin D has to be taken alongside a lot of calcium for these appetite suppressing effects to occur.
  6. Cancer: Vitamin D is imperative for regulating cell growth. It is also crucial for cell-to-cell communication. 200 genes in the human body are affected adversely when there is an inadequate amount of Vitamin D in your body.
  7. Diabetes: In a recent study, it has been concluded that infants who received an adequate amount of vitamin D had their chances of suffering from Type 1 reduced by almost 88 percent by the time they turn 30.
  8. Rickets: The softening of the bones is termed as rickets. Rickets is yet another disease which is caused by an insufficient amount of Vitamin D. The reason for this is that calcium is not absorbed and therefore the bones soften. 

Rickets is yet another disease which is caused by an insufficient amount of vitamin D. The reason for this is that calcium is not absorbed and therefore the bones soften. The softening of the bones is termed as rickets. 

These are some of many other conditions associated with a Vitamin D deficiency.

Related Tip: "Are Vitamins Vital?"

3562 people found this helpful

Bow Legs:What You Need To Know

Dr. Abhijit Misra 91% (165 ratings)
MD - Paediatrics
Pediatrician, Kolkata
Bow Legs:What You Need To Know

Often children are born with bowing of legs, due to folded leg position in utero.

Once they start putting pressure on them while walking, they may straighten out. This happens generally by 2 to 3 years of age.

If not corrected then they may cause some serious problems:
*shortening of 1 leg
*deformity
*difficulty walking running
*higher risk of arthritis.

Persistent bowing may be due some deficiency:
**rickets
*Blount's disease
*lead or fluoride poisoning
*others

First few tests:
25 (oh) vitamin d3 level in serum
Serum free calcium level
X-ray of legs.

How will your pediatrician monitor for a change?

Measurements of distance between knees while a child is lying on the back.

This is monitored to see for any worsening

What can be done?

*treat rickets.
*any other underlying problem to be ruled out.
*braces orthopedic devices to keep the leg in straightened position (serious cases)
**surgery after 3 years (determined according to individual case basis)

All problems may not be solved but timely intervention can change the life of a child forever.
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*rickets*surgery

Knock Knee And Bow Legs Corrections Without Surgery

Dr. Anuradha Sharma 91% (16525 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Knock Knee And Bow Legs Corrections Without Surgery

Knock knee and bow legs is a condition in which your legs appear bowed out that means that your knees stay wide apart and your ankles are together and knock-knee is the condition in which the knees angle touch to one another, commonly called valgus and varus deformities. Causes of bow legs and knock-knee genetic are due to rickets and arthritis deficiency of vit d and other nutritions, abnormalities, muscle imbalances, which can cause these deformities which results in excessive hip-knee-ankles. These deformities can affect various joints of the body including the knee, ankle, hip and spine. We take different treatments to prevent this, like painkillers, knee brace, exercise splint and finally surgery

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